LOW-CONTACT DYNAMIC COMPRESSION PLATING OF THE CLAVICLE

Internal fixation of the clavicle is rarely necessary. When it is warr anted, the clavicle's complex three-dimensional morphology and functio nal anatomy, proximity to vital structures, and the multidirectional b iomechanical forces acting upon it place considerable demands on any i mplant used for skeletal fixation. We treated nine clavicles with the recently-introduced 3.5 mm low contact-dynamic compression plate (LC-D CP). Surgery was performed for symptomatic non-union in six patients, shoulder dysfunction following a malunited fracture in one, for an ope n fracture in one, and for an acute fracture associated with brachial plexus injury in one. After an average follow-up period of 17 months u nion was secured in each case. The advantages afforded by the 3.5 mm L C-DCP in internal fixation of the clavicle with its uniquely demanding anatomical and biomechanical characteristics are discussed.